| NPI | 1427349489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEG DRUT Owner President 718-477-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 047348-1) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |